Provider Demographics
NPI:1528776002
Name:ARMSTRONG, REAGAN ANN (MSW)
Entity type:Individual
Prefix:
First Name:REAGAN
Middle Name:ANN
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:148 WATERLOO ST SW STE 1
Mailing Address - Street 2:
Mailing Address - City:AIKEN
Mailing Address - State:SC
Mailing Address - Zip Code:29801-3766
Mailing Address - Country:US
Mailing Address - Phone:706-496-2856
Mailing Address - Fax:762-333-2872
Practice Address - Street 1:148 WATERLOO ST SW STE 1
Practice Address - Street 2:
Practice Address - City:AIKEN
Practice Address - State:SC
Practice Address - Zip Code:29801-3766
Practice Address - Country:US
Practice Address - Phone:706-496-2856
Practice Address - Fax:762-333-2872
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-14
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty